| NPI | 1598054595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2355) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2013-03-29 |